Monthly Archives: December 2013
I had a patient a while back struggling with ongoing depression symptoms, fatigue, and constipation indicative of symptoms of hypothyroidism. In this case, a couple of different antidepressants Remeron (mirtazapine) and Zoloft (sertraline) had been tried without any benefit. The most recent TSH was elevated at 13 requiring an increase in the levothyroxine dose from […]
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A couple of good Parkinson’s related questions today that I wanted to follow up on, which brings up a good reminder to all who follow this page…feel free to ask questions – just drop me an email on the website, or message me on facebook.com/meded101 – I get to as many as I can! 1. […]
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Parkinson’s disease management is often very challenging. Dopamine is one of the key neurotransmitters involved in the disease process so that is really where treatment is focused. There is a loss or depletion of dopamine in Parkinson’s and treatment involves replacement of the dopamine – Sinemet is the primary treatment in Parkinson’s disease. The struggle […]
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I had a patient who was rehabbing a knee replacement, and having some difficulty sleeping. Pain was a contributing factor, but appeared to be pretty well managed and eventually determined to not be a factor in this case. I had discussed the case with nursing, and they stated that he was up all day and […]
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Per request, I’m going to tackle some constipation. YES! Constipation is a massive topic especially in the elderly with many disease states that can contribute as well as many medications. I frequently see patients on 2, 3, or 4 different laxatives at a time. Periodically, I do come across some duplication. Just the other day […]
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